Case Manager Registered Nurse (RN) - Care Coordination
Company: Geisinger
Location: Selinsgrove
Posted on: November 20, 2023
Job Description:
Job Title: Case Manager Registered Nurse (RN) - Care
Coordination
Location: Danville, Pennsylvania
Job Category: RN - Registered Nurse, Nursing and Nursing
Support
Schedule: Days
Work Type: Full time
Department: GMC Care Services Team
Date Posted: 11/07/2023
Job ID: R-53594
Job SummaryAssesses, plans, implements, coordinates, monitors and
evaluates all options and services with the goal of optimizing the
patient or member's health status. Manages utilization and practice
metrics to further refine the delivery of care model to maximize
clinical, quality, and fiscal outcomes.
Job Duties
- Integrates evidence-based clinical guidelines, preventive
guidelines, protocols, and other metrics in the development of
treatment plans that are patient-centric, promoting quality and
efficiency in the delivery of healthcare for the identified
population.
- Develops systems of care that monitor progress and promote
early intervention in acute care situations.
- Assists with the design, implementation, and evaluation of the
advanced patient centered care model.
- Assesses the healthcare, educational and psychosocial needs of
patients or members.
- Designs an individualized plan of care and fosters a team
approach by working collaboratively with the patient or member,
family, primary care provider, and other members of the health care
team to ensure coordination of services.
- Continuously evaluates laboratory results, diagnostic tests,
utilization patterns and other metrics to monitor quality and
efficiency results for assigned population.
- Works to appropriately apply benefits and utilization
management serving as a resource to the patient or member and
healthcare team.
- Maintains required documentation for all case management
activities.
- Collects required data and utilizes this data to adjust the
treatment plan when indicated.Work is typically performed in a
clinical environment. Accountable for satisfying all job specific
obligations and complying with all organization policies and
procedures. The specific statements in this profile are not
intended to be all-inclusive. They represent typical elements
considered necessary to successfully perform the job. Additional
competencies and skills outlined in any department-specific
orientation will be considered essential to the performance of the
job related to that position.
Position Details
- Required experience: 3 years of RN work experience
- Typical hours are M-F from 8a to 5p
- Rotation of weekends, holidays and on-call
- Holidays - approx. 1 a year
- Weekends - appox. every 5 to 6 weeks
- On call: 5p to 8a. Rotates Monday through Thursday and Friday
through Sunday separately. - On-call rotation begins after 6
months. One evening every 7-8 weeks and weekend rotation in-house
every 6 weeks from 8 am to 430 p with flex day the week prior and
the week after to support weekend coverage
- Must attain ACM certification within 2 years - Geisinger will
assistOverview and highlights of Case Management with Care
Coordination (hospital-based): - Case Management is a collaborative
practice including patients, caregivers, nurses, social workers,
physicians, payers, support staff, other practitioners, and the
community. RN Case Managers facilitate communication and care
coordination along a continuum through effective transitional care
management. They focus on the progression of care by completing
daily medical reviews and screening patients in accordance with CMS
conditions of participation. They help to manage hospital capacity
and arrange post-acute services for patients upon discharge and
while doing so support the patient's right to self-determination,
and recognize the significance of social determinants of health and
complexities of care. The goals of Case Management include
achievement of optimal health, access to services, and appropriate
utilization of resources.The RN Case Manager role allows nurses to
use their critical thinking skills in a fast-paced environment
where no two days are ever the same. It is a challenging, yet
rewarding role that gives you the opportunity to positively affect
the lives of patients and families. You will be able to maintain a
good work-life balance and you will be surrounded by a supportive
interdisciplinary
team.**********************************************************************************************Geisinger
cares about not only its patients and members but also about you
and your family. We offer a competitive compensation and benefits
package to ensure that you and your loved ones can maintain good
health, achieve financial stability, and excel both personally and
professionally.Our benefits package includes:
- Comprehensive health insurance coverage starting on your first
day of employment with three medical plan options, including
flexible spending account (FSA) and health savings account (HSA)
options
- Life insurance, short-term disability, and long-term disability
coverage paid for by the company
- A competitive 401(k) plan with automatic Geisinger
contributions beginning on your first day of employment
- A generous paid time off (PTO) plan that allows you to accrue
time quickly
- Tuition reimbursement up to $5,000/year
- Access to the MyHealth Rewards wellness program, which helps
you improve your health and earn incentives
- Support for families, including adoption assistance, paid
parental leave, paid military leave, and a free care.com membership
with discounted backup care for your loved ones
- We believe in creating a diverse and inclusive environment
where all employees can be their authentic selves. That's why we
offer several Employee Resource Groups (ERGs), which provide
opportunities for you to network and develop professionally. Our
ERGs are open to all employees and are formed around common
identities.
EducationGraduate from Specialty Training Program-Nursing
(Required), Bachelor's Degree-Nursing (Preferred)
ExperienceMinimum of 3 years-Nursing (Required)
Certification(s) and License(s)Basic Life Support Certification -
Default Issuing Body; Licensed Registered Nurse (Pennsylvania) -
RN_State of Pennsylvania
Our Purpose & ValuesOUR PURPOSE & VALUES: Everything we do is about
caring for our patients, our members, our students, our Geisinger
family and our communities. KINDNESS: We strive to treat everyone
as we would hope to be treated ourselves. EXCELLENCE: We treasure
colleagues who humbly strive for excellence. LEARNING: We share our
knowledge with the best and brightest to better prepare the
caregivers for tomorrow. INNOVATION: We constantly seek new and
better ways to care for our patients, our members, our community,
and the nation. SAFETY: We provide a safe environment for our
patients and members and the Geisinger family We offer healthcare
benefits for full time and part time positions from day one,
including vision, dental and domestic partners. Perhaps just as
important, from senior management on down, we encourage an
atmosphere of collaboration, cooperation and collegiality. We know
that a diverse workforce with unique experiences and backgrounds
makes our team stronger. Our patients, members and community come
from a wide variety of backgrounds, and it takes a diverse
workforce to make better health easier for all. We are proud to be
an affirmative action, equal opportunity employer and all qualified
applicants will receive consideration for employment regardless to
race, color, religion, sex, sexual orientation, gender identity,
national origin, disability or status as a protected veteran.
Keywords: Geisinger, Harrisburg , Case Manager Registered Nurse (RN) - Care Coordination, Executive , Selinsgrove, Pennsylvania
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